DEPARTMENT OF INSURANCE

Affiliations

Name	Potter, Carlos Laroy	DOIID	887907	NAIC NPN	17638095

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	4/24/2017	4/30/2025
Inactive	Non Resident	Agent	Health	8/20/2015	4/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	4/23/2024
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019	4/30/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	9/20/2019	4/23/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020	4/30/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019	4/30/2025
Inactive	American Continental Insurance Company	643130	Agent - Life	9/20/2019	8/11/2021
Inactive	CMFG Life Insurance Company	300929	Agent - Health	12/23/2020	6/11/2024
Inactive	CMFG Life Insurance Company	300929	Agent - Life	12/23/2020	6/11/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	10/6/2016	11/7/2016
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/20/2019	4/23/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/15/2016	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/15/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/15/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/15/2016	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/15/2016	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/15/2016	6/8/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Life	11/12/2019	7/8/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	4/30/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/28/2019	11/20/2019
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	11/20/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/28/2019	11/20/2019
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/20/2015	12/15/2015
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/28/2019	11/20/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/31/2019	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/31/2019	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	7/31/2019	12/16/2019